Increased utilization rates for medical services and an easing hospital labor shortage could mean smaller profit margins for payers, The Wall Street Journal reported Nov. 29.
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Pittsburgh-based Allegheny Health Network has received $1.3 billion from payer Highmark Inc. since 2018, the Pittsburgh Post-Gazette reported Nov. 30.
From several new market presidents to departures for venture capital firms, these are 26 payer executive moves reported by Becker's in November:
Rhode Island Insurance Commissioner Patrick Tigue is stepping down Dec. 2 after two years on the job, Providence Business News reported Nov. 29.
Payers are swapping pharmaceutical benefit managers, adding partnerships with Amazon and looking at billionaire investor Mark Cuban's new approach to dispensing drugs.
After a year-long dispute with Blue Cross Blue Shield of Illinois, Springfield Clinic is rolling out its own health plan, the State Journal-Register reported Nov. 29.
Humana plans to lay off 157 employees at its SeniorBridge facility in Jupiter, Fla., as it prepares to close most of its SeniorBridge locations nationwide, the South Florida Business Journal reported Nov. 28.
Thousands of patients will be left out-of-network if Regence BlueShield of Washington and Optum-owned The Polyclinic and The Everett Clinic do not reach an agreement by Dec. 19, The Seattle Times reported Nov. 28.
AHIP is pushing back on claims that Medicare Advantage plans are overcharging the government.
Aetna and Anthem Blue Cross have their eyes on a new actuarial science degree program at the University of California Riverside.